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Our bespoke solutions are crafted to meet the individual needs of every practice and facility.
The Aurora Healthcare Solutions Services Suite
Dive into a suite of services tailored to foster your current success and propel you towards your ultimate goals!
Initial Assessment and Deep Dive Analysis: Our consulting work begins with an in-depth assessment, tailored to identify your unique strengths and opportunities for growth. We delve into the heart of your billing practices, assessing your coding strategies, accounts receivables, and patterns in claim denials. We meticulously analyze your payer mix, identify the nuances of high and low-paying policies, and thoroughly review your appeals process. Our objective is clear: to uncover hidden opportunities and optimize your revenue channels.
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Actionable Insights and Strategic Planning: Once we have organized all of this valuable data - it’s time to get to work! We present our findings and outline an actionable road map. Our goal is to equip your team with the tools and insights needed to navigate all aspects of the revenue cycle confidently and effectively. We will support you every step of the way.
Embark on a transformational partnership with our full-service consulting package, meticulously crafted for medical providers and facilities. With this partnership, we will empower you with the knowledge and tools to master insurance revenue management.
MONTH 1: ANALYZE
Month one is all about the data. We take about two weeks to gather all of the information we need to better understand where you’re missing out on opportunities for revenue, streamlined processes, and better channels for client care. By identifying your goals and analyzing the data at hand, we can get your billing department functioning optimally. After we’ve gathered the data, we'll share our deep knowledge of the industry and outline how to help you retrieve and prevent lost revenue.
MONTH 2: OPTIMIZE
Let's get going! In month 2, we begin the optimization process. We now have a detailed road map for success and know where we want to go. We begin to implement your customized plan and have weekly meetings to discuss your progress and address any questions that may come up .We work with various point people in each department so that you’re practice is running seamlessly across the board.
MONTH 3: EMPOWER
By the end of the third month, you will be equipped with the knowledge and tools to make informed business decisions that positively impact your revenue.
The empowerment phase is about solidifying your newfound confidence and control over your revenue cycle.
MONTHS 4-6: CONTINUED IMPLEMENTATION
You now have the systems in place and skills to manage your revenue cycle but still want support. In months four through six, we will meet on a monthly basis to ensure all of the new policies and procedures become habit. We will review your KPIs and discuss your new goals for the upcoming months. In addition, you will have access to “office hours” two times a month where you can connect with your peers and the Aurora team about any insurance issue you may be facing.
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Verification of Benefits: We will review your client intake process and identify practices that could be slowing down your revenue cycle. Too many providers loose money due to termed policies or benefit exclusions that could have been identified before the service is performed.
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We will review all aspects of your revenue cycle and provide you with a detailed outline of our findings and recommendations. Based on your observations and defined goals, we will create a strategic action plan. We will look at various factors that are critical to your revenue cycle which includes:
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Patient Financial Management: Because healthcare is more reliant on high-deductible health plans, it is more important than ever to have defined policy around patient collections.
Billing and Coding Strategy: We will review your billing and coding strategy to ensure that you are not leaving money on the table. A common cause for claim denials is improper use of modifiers, bundling errors or invalid coding. Each payer has different requirements and we will provide an outline of this so that you and your team are able to easily understand what matters for each payer.
Accounts Receivable Strategy: We will review your denied claims process to ensure that claims are being followed up on in a timely manner using the most effective techniques. We will also review your documentation process. If a claim needs to be escalated to appeals, it is critical to have proper documentation.
Appeals Process: You will receive proven appeal templates that get claims paid. After analyzing your billing strategy and outstanding accounts receivables, we will provide done-for-you appeal templates to fight claims denials of all kinds.
PRE-APPOINTMENT OPPORTUNITY
Lost revenue due to eligibility issues or benefit exclusions.
PATIENT COLLECTION POLICY
How much additional money you could collect if you adopted a strong patient collection policy ie. collect copays/deductibles up front, or provide payment portal options where clients can easily make payments online.
PAYER STRATEGY
You’ll know your most common payers, top paying insurance companies, and the fastest and slowest paying insurance companies.
CODING STRATEGY
Implement a strategy for most commonly billed codes and best paying codes (broken down by payer).
DENIAL REASONS
You’ll understand the most common denial reasons that lead to lost revenue.
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We know that insurance isn’t everyone’s cup of tea. If you are looking for a done-for-you billing solution that works for you, we’ve got you covered! Click the button below to contact our parent company, Datapro Billing Service, a family-owned billing company that has been successfully serving providers, like you, for over 30 years.
“Rachel has been and continues to be one of the key components that is allowing Restore Detox Centers to focus on what matters most, saving lives. Thanks to the thorough and comprehensive service more people have had more time and more treatment month after month and year after year. Aurora Healthcare Services and their team are responsive and continue to not only be a company that provides great service but offers on going mentorship and care. In this day and age as the crisis of addiction and alcoholism continues to grow we are blessed to work with a billing and facilitator whose action and words match. We are grateful for this ongoing dynamic partnership. Thank you!”
I've had the pleasure of working with Rachel on everything from routine claims submission and follow-up to large-scale projects. She is consistently diligent, thorough, professional, and a pleasure to work with. Rachel ran point on a prepayment review process which our facilities were subjected to by a payer which impacted a significant portion of our receivables. She coordinated the review and submission of hundreds of patient charts and significantly, she relentlessly followed up with and meticulously documented communications with the insurance company, which was hopelessly disorganized in processing the records we sent. Rachel's diligent follow-up was crucial, because a huge portion of our receivables were logjammed while this payor implemented this chaotic prepayment review process. Additionally, when the payor denied claims, Rachel filed appeals, getting many of the claims paid. Rachel communicated directly with upper management of the insurance company when we needed to get issues resolved. Her communication and problem-solving skills are unsurpassed. It is such a pleasure to work with Rachel and I highly recommend her services.”
“We have worked with Rachel for over 10 years. They have worked alongside us as we obtained our in-network contracts and grew our operations to multiple locations. Their attention to detail, care, and integrity in their work has always been clear. We have navigated many challenges together as we worked towards higher receivables. They are always up for the challenge and work hard to exceed our expectations. They are always open to feedback and open to adjusting their internal operations to complement ours. We are both family-run businesses that have great care for our clients and are driven by a desire to do the right thing for the greater good. I feel so grateful to work in partnership with Rachel.”
“Rachel is exceptionally skilled at identifying a problem and then methodically working through the details to solve it so her clients don't have to. She also sees the big picture, works hard, and is very personable. The combination of these skills brings results and high value for her clients.”
“Just wanted to thank you again for all your help. I have worked with a few different behavioral health billing companies and you are by far the most helpful and thorough. We really appreciate working with you and look forward to growing with you over the coming years.”
Go beyond billing to optimize your insurance processes so you can focus your attention on provider-patient relationships and systematize everything else.
LET’S GET STARTED. APPLY TO WORK TOGETHER.
The beauty (and beautiful challenge) of the medical system is that it looks different for each and every provider.
But no matter where you are, understanding the unique opportunity for your practice or facility begins with discovering, diagnosing, and devising a plan for both care and capital. Are you ready to create a system to bridge the gap between where you are now and your lucrative medical practice goals?
Take the first step by downloading the free “5 Ways Your Practice is Leaving Money on the Table” guide.